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Organization

CLOVERDALE PERSONAL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL ASSAD (OWNER)
(724) 583-0620
Entity
Organization

Contact information

Practice address
206 WESTWOOD AVE, MASONTOWN, PA 15461-1646
(724) 583-0620
(724) 583-0620
Mailing address
206 WESTWOOD AVE, MASONTOWN, PA 15461-1646
(724) 583-0620
(724) 583-0620

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
438900
PA

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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